Healthcare Provider Details

I. General information

NPI: 1801618756
Provider Name (Legal Business Name): LAUREN E. BIESTEK, DC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2024
Last Update Date: 11/20/2024
Certification Date: 11/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2114 W ALGONQUIN RD
LAKE IN THE HILLS IL
60156-1370
US

IV. Provider business mailing address

4869 ARGYLE LN
MCHENRY IL
60050-6606
US

V. Phone/Fax

Practice location:
  • Phone: 847-305-3122
  • Fax:
Mailing address:
  • Phone: 847-305-3122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. LAUREN ELIZABETH BIESTEK
Title or Position: OWNER/CHIROPRACTOR
Credential: DC
Phone: 847-204-0959